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NPI Code Detail

MEDICARE: RENU HEALTH LLC

MEDICARE: RENU HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WW0000XWound Care Registered Nurse

General Provider Information

NPI Number : 1457283954
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENU HEALTH LLC
Provider Business Mailing Address
First Line : 9 BRANCH VALLEY LN
Second Line :
City : DALLAS
State : GA
Zip : 30132-0832
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9 BRANCH VALLEY LN
Second Line :
City : DALLAS
State : GA
Zip : 30132-0832
Country : US
Telephone Number : 317-701-7370
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : CHRISTY JONES
Credential : RN
Telephone Number : 317-701-7370
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “RENU HEALTH LLC ” Practice Location

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